PATIENT ADVOCATE

Highlights

Summary

As part of Martin Bionics Clinical Care, the Patient Advocate manages the clinic’s administrative process and is integral to communication with our patients, referral sources, and clinical team.  This person is primarily responsible for obtaining the documentation needed to treat patients and build a complete and compliant chart. The Patient Advocate acts as a financial advocate for the patient throughout their journey with Martin Bionics, from initial consultation to final delivery and follow-up care.

Primary Duties

• Provide the highest level of customer service to patients, fellow team members, and referral sources.
• Requesting and obtaining compliant documents from referral sources.

• Maintain accurate and complete electronic files.

• Manage work in progress (WIP) process.

• Coordinate and communicate with designated practitioner.

• Create service estimates and patient financial documentation, and counsel patients on their financial responsibilities.

• Provide consistent support to patients both in the clinic and through preliminary and follow-up conversations.

• Perform chart scrubs to ensure a complete and compliant chart, prior to sending for authorization or delivery.

• Coordinate efforts with Reimbursement team to ensure clinic processes support timely and accurate claim submission.

• Ensure the privacy and security of protected health information per HIPAA requirements.

• All other job duties as assigned.

Characteristics of the Ideal Candidate

• Articulate - Both verbally and in writing.
• Collaborative - Constructively workshop solutions to problems with others. Team player.
• Curious - Willingness to learn and ask thoughtful questions.
• Flexible - Resilience in a fast-paced, changing environment.
• Interpersonal - Able to empathize with patients and team members.
• Motivated - Independently takes initiative and proposes solutions. Self-starter.
• Organized - Attentive to detail.

Department Structure

• Clinic Manager
• • Prosthetist
  • Prosthetic Technician
  • Patient Care Coordinator
  • Patient Advocate

Qualifications

• High school diploma or equivalent; Associate/Bachelor’s degree a plus.

• 1 year prior medical office experience.

• Able to clearly and professionally communicate with patients, clinicians, and team members in both verbal and written formats.

• HCPCs codes, medical terminology, and O&P knowledge and experience preferred.

• Working knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state, and federal (Medicare) plans including coding, billing, and reimbursement protocols.

• At least 2 years of computer and office equipment experience including MS Office products (Word, Excel), e-mail and automated billing systems, facsimile machines, calculator, copiers.

Evaluation

• Regular, informal one-on-one meetings with supervisor for bi-directional feedback
• Formal performance review to take place annually

Physical Demands

• Prolonged periods of working on a computer
• Extended periods of sitting and standing
• Typical medical practice administrative duties

Benefits

• Comprehensive health, dental, and vision insurance plans, including generous employer contribution to health insurance premium
• 3-weeks paid time off (PTO)
• 11 paid holidays annually, including 2 floating holidays
• 401(k) retirement plan with 3% company match
• Company provided short-term disability insurance, plus option for supplemental short-term and long-term disability insurance
• Life insurance